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Search Results (1,049)

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Authors = Chuan Li ORCID = 0000-0003-2414-4781

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16 pages, 10690 KiB  
Article
Clade-Specific Recombination and Mutations Define the Emergence of Porcine Epidemic Diarrhea Virus S-INDEL Lineages
by Yang-Yang Li, Ke-Fan Chen, Chuan-Hao Fan, Hai-Xia Li, Hui-Qiang Zhen, Ye-Qing Zhu, Bin Wang, Yao-Wei Huang and Gairu Li
Animals 2025, 15(15), 2312; https://doi.org/10.3390/ani15152312 - 7 Aug 2025
Abstract
 Porcine epidemic diarrhea virus (PEDV) continues to circulate globally, causing substantial economic losses to the swine industry. Historically, PEDV strains are classified into the classical G1, epidemic G2, and S-INDEL genotypes. Among these genotypes, the highly virulent and prevalent G2 genotype has been [...] Read more.
 Porcine epidemic diarrhea virus (PEDV) continues to circulate globally, causing substantial economic losses to the swine industry. Historically, PEDV strains are classified into the classical G1, epidemic G2, and S-INDEL genotypes. Among these genotypes, the highly virulent and prevalent G2 genotype has been extensively studied. However, recent clinical outbreaks in China necessitate a reevaluation of the epidemiological and evolutionary dynamics of circulating strains. This study analyzed 37 newly sequenced S genes and public sequences to characterize the genetic variations of S-INDEL strains. Our analysis revealed that S-INDEL strains are endemic throughout China, with a phylogenetic analysis identifying two distinct clades: clade 1, comprising early endemic strains, and clade 2, representing a recently dominant, geographically restricted lineage in China. While inter-genotypic recombination has been documented, our findings also demonstrate that intra-genotypic and intra-clade recombination events contributed significantly to the emergence of clade 2, distinguishing its evolutionary pattern from clade 1. A comparative analysis identified 22 clade-specific amino acid changes, 11 of which occurred in the D0 domain. Notably, mutations at positively selected sites—113 and 114 within the D0 domain, a domain associated with pathogenicity—were specific to clade 2. A phylodynamic analysis indicated Germany as the epicenter of S-INDEL dispersal, with China acting as a sink population characterized by localized transmission networks and frequent recombination events. These results demonstrate that contemporary S-INDEL strains, specifically clade 2, exhibit unique recombination patterns and mutations potentially impacting virulence. Continuous surveillance is essential to assess the pathogenic potential of these evolving recombinant variants and the efficacy of vaccines against them.  Full article
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22 pages, 2187 KiB  
Article
Long-Term Rotary Tillage and Straw Mulching Enhance Dry Matter Production, Yield, and Water Use Efficiency of Wheat in a Rain-Fed Wheat-Soybean Double Cropping System
by Shiyan Dong, Ming Huang, Junhao Zhang, Qihui Zhou, Chuan Hu, Aohan Liu, Hezheng Wang, Guozhan Fu, Jinzhi Wu and Youjun Li
Plants 2025, 14(15), 2438; https://doi.org/10.3390/plants14152438 - 6 Aug 2025
Abstract
Water deficiency and low water use efficiency severely constrain wheat yield in dryland regions. This study aimed to identify suitable tillage methods and straw management to improve dry matter production, grain yield, and water use efficiency of wheat in the dryland winter wheat–summer [...] Read more.
Water deficiency and low water use efficiency severely constrain wheat yield in dryland regions. This study aimed to identify suitable tillage methods and straw management to improve dry matter production, grain yield, and water use efficiency of wheat in the dryland winter wheat–summer bean (hereafter referred to as wheat-soybean) double-cropping system. A long-term located field experiment (onset in October 2009) with two tillage methods—plowing (PT) and rotary tillage (RT)—and two straw management—no straw mulching (NS) and straw mulching (SM)—was conducted at a typical dryland in China. The wheat yield and yield component, dry matter accumulation and translocation characteristics, and water use efficiency were investigated from 2014 to 2018. Straw management significantly affected wheat yield and yield components, while tillage methods had no significant effect. Furthermore, the interaction of tillage methods and straw management significantly affected yield and yield components except for the spike number. RTSM significantly increased the spike number, grains per spike, 1000-grain weight, harvest index, and grain yield by 12.5%, 8.4%, 6.0%, 3.4%, and 13.4%, respectively, compared to PTNS. Likewise, RTSM significantly increased the aforementioned indicators by 14.8%, 10.1%, 7.5%, 3.6%, and 20.5%, compared to RTNS. Mechanistic analysis revealed that, compared to NS, SM not only significantly enhanced pre-anthesis and post-anthesis dry matter accumulation, and pre-anthesis dry matter tanslocation to grain, but also significantly improved pre-sowing water storage, water consumption during wheat growth, water use efficiency, and water-saving for produced per kg grain yield, with the greatest improvements obtained under RT than PT. Technique for Order Preference by Similarity to Ideal Solution (TOPSIS) analysis confirmed RTSM’s yield superiority was mainly ascribed to straw-induced improvements in dry matter and water productivity. In a word, rotary tillage with straw mulching could be recommended as a suitable practice for high-yield wheat production in a dryland wheat-soybean double-cropping system. Full article
(This article belongs to the Special Issue Emerging Trends in Alternative and Sustainable Crop Production)
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14 pages, 2426 KiB  
Article
A Novel Integrated Inertial Navigation System with a Single-Axis Cold Atom Interferometer Gyroscope Based on Numerical Studies
by Zihao Chen, Fangjun Qin, Sibin Lu, Runbing Li, Min Jiang, Yihao Wang, Jiahao Fu and Chuan Sun
Micromachines 2025, 16(8), 905; https://doi.org/10.3390/mi16080905 - 2 Aug 2025
Viewed by 157
Abstract
Inertial navigation systems (INSs) exhibit distinctive characteristics, such as long-duration operation, full autonomy, and exceptional covertness compared to other navigation systems. However, errors are accumulated over time due to operational principles and the limitations of sensors. To address this problem, this study theoretically [...] Read more.
Inertial navigation systems (INSs) exhibit distinctive characteristics, such as long-duration operation, full autonomy, and exceptional covertness compared to other navigation systems. However, errors are accumulated over time due to operational principles and the limitations of sensors. To address this problem, this study theoretically explores a numerically simulated integrated inertial navigation system consisting of a single-axis cold atom interferometer gyroscope (CAIG) and a conventional inertial measurement unit (IMU). The system leverages the low bias and drift of the CAIG and the high sampling rate of the conventional IMU to obtain more accurate navigation information. Furthermore, an adaptive gradient ascent (AGA) method is proposed to estimate the variance of the measurement noise online for the Kalman filter. It was found that errors of latitude, longitude, and positioning are reduced by 43.9%, 32.6%, and 32.3% compared with the conventional IMU over 24 h. On this basis, errors from inertial sensor drift could be further reduced by the online Kalman filter. Full article
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16 pages, 6112 KiB  
Article
The Olfactory System of Dolichogenidea gelechiidivoris (Marsh) (Hymenoptera: Braconidae), a Natural Enemy of Tuta absoluta (Meyrick) (Lepidoptera: Gelechiidae)
by Shu-Yan Yan, He-Sen Yang, Cong Huang, Gui-Fen Zhang, Judit Arnó, Jana Collatz, Chuan-Ren Li, Fang-Hao Wan, Wan-Xue Liu and Yi-Bo Zhang
Int. J. Mol. Sci. 2025, 26(15), 7312; https://doi.org/10.3390/ijms26157312 - 29 Jul 2025
Viewed by 237
Abstract
The parasitoid wasp Dolichogenidea gelechiidivoris is a key koinobiont solitary endoparasitoid of the invasive agricultural pest Tuta absoluta. This study investigates both the morphological and molecular foundations of sex-specific olfactory differentiation in this species. Morphological analysis revealed that males possess significantly longer [...] Read more.
The parasitoid wasp Dolichogenidea gelechiidivoris is a key koinobiont solitary endoparasitoid of the invasive agricultural pest Tuta absoluta. This study investigates both the morphological and molecular foundations of sex-specific olfactory differentiation in this species. Morphological analysis revealed that males possess significantly longer antennae (2880.8 ± 20.36 μm) than females (2137.23 ± 43.47 μm), demonstrating pronounced sexual dimorphism. Scanning electron microscopy identified similar sensilla types on both sexes, but differences existed in the length and diameter of specific sensilla. Transcriptomic analysis of adult antennae uncovered molecular differentiation, identifying 11 odorant-binding proteins (OBPs) and 20 odorant receptors (ORs), with 27 chemosensory genes upregulated in females and 4 enriched in males. Integrating morphological and molecular evidence demonstrates complementary sexual specialization in the olfactory apparatus of D. gelechiidivoris. Linking these findings to the potential functions of different sensilla types, as discussed in the context of prior research, provides crucial insights into the sex-specific use of volatile cues. These findings provide critical insights into the use of volatile signals in this highly relevant species for biological control targeting T. absoluta. Full article
(This article belongs to the Section Molecular Biology)
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17 pages, 7162 KiB  
Article
Microbeam X-Ray Investigation of the Structural Transition from Circularly Banded to Ringless Dendritic Assemblies in Poly(Butylene Adipate) Through Dilution with Poly(Ethylene Oxide)
by Selvaraj Nagarajan, Chia-I Chang, I-Chuan Lin, Yu-Syuan Chen, Chean-Cheng Su, Li-Ting Lee and Eamor M. Woo
Polymers 2025, 17(15), 2040; https://doi.org/10.3390/polym17152040 - 26 Jul 2025
Viewed by 307
Abstract
In this study, growth mechanisms are proposed to understand how banded dendritic crystal aggregates in poly(1,4-butylene adipate) (PBA) transform into straight dendrites upon dilution with a large quantity of poly(ethylene oxide) (PEO) (25–90 wt.%). In growth packing, crystal plates are deformed in numerous [...] Read more.
In this study, growth mechanisms are proposed to understand how banded dendritic crystal aggregates in poly(1,4-butylene adipate) (PBA) transform into straight dendrites upon dilution with a large quantity of poly(ethylene oxide) (PEO) (25–90 wt.%). In growth packing, crystal plates are deformed in numerous ways, such as bending, scrolling, and twisting in self-assembly, into final aggregated morphologies of periodic bands or straight dendrites. Diluting PBA with a significant amount of PEO uncovers intricate periodic banded assemblies, facilitating better structural analysis. Both circularly banded and straight dendritic PBA aggregates have similar basic lamellar patterns. In straight dendritic PBA spherulites, crystal plates can twist from edge-on to flat-on, similar to those in ring-banded spherulites. Therefore, twists—whether continuous or discontinuous—are not limited to the conventional models proposed for classical periodic-banded spherulites. Thus, it would not be universally accurate to claim that the periodic circular bands observed in polymers or small-molecule compounds are caused by continuous lamellar helix twists. Straight dendrites, which do not exhibit optical bands, may also involve alternate crystal twists or scrolls during growth. Iridescence tests are used to compare the differences in crystal assemblies of straight dendrites vs. circularly banded PBA crystals. Full article
(This article belongs to the Section Polymer Physics and Theory)
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20 pages, 2460 KiB  
Article
Kinetics of Proton Transfer and String of Conformational Transformation for 4-Pyridone-3-carboxylic Acid Under External Electric Field
by Ya-Wen Li, Rui-Zhi Feng, Xiao-Jiang Li, Ai-Chuan Liu and En-Lin Wang
Molecules 2025, 30(15), 3115; https://doi.org/10.3390/molecules30153115 - 25 Jul 2025
Viewed by 178
Abstract
In order to explore the essence of the anticoccidiosis of anticoccidial drugs under bioelectric currents, the intermolecular double-proton transfer and conformational transformation of 4-pyridone-3-carboxylic acid were investigated by quantum chemistry calculations (at the M06-2X/6-311++G**, M06-2X/aug-cc-pVTZ and CCSD(T)/aug-cc-pVTZ levels) and finite temperature string (FTS) [...] Read more.
In order to explore the essence of the anticoccidiosis of anticoccidial drugs under bioelectric currents, the intermolecular double-proton transfer and conformational transformation of 4-pyridone-3-carboxylic acid were investigated by quantum chemistry calculations (at the M06-2X/6-311++G**, M06-2X/aug-cc-pVTZ and CCSD(T)/aug-cc-pVTZ levels) and finite temperature string (FTS) under external electric fields. The solvent effect of H2O on the double-proton transfer was evaluated by the integral equation formalism polarized continuum model. The results indicate that the influences of the external electric fields along the direction of the dipole moment on double-proton transfer are significant. The corresponding products are controlled by the direction of the external electric field. Due to the first-order Stark effect, some good linear relationships form between the changes of the structures, atoms in molecules (AIMs) results, surface electrostatic potentials, barriers of the transition state, and the external electric field strengths. From the gas to solvent phase, the barrier heights increased. The spatial order parameters (ϕ, ψ) of the conformational transformation could be quickly converged through the umbrella sampling and parameter averaging, and thus the free-energy landscape for the conformational transformation was obtained. Under the external electric field, there is competition between the double-proton transfer and conformational transformation. The external electric field greatly affects the cooperativity transfer, while it has little effect on the conformational transformation. This study is helpful in the selection and updating of anticoccidial drugs. Full article
(This article belongs to the Section Computational and Theoretical Chemistry)
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20 pages, 7035 KiB  
Article
Microstructure Evolution Mechanism and Corrosion Resistance of FeCrNi(AlTi)x Medium Entropy Alloy Prepared by Laser Melting Deposition with Al and Ti Content Changes
by Kai Wang, Mingjie Liu, Chuan Liu, Xiaohui Li and Guanghui Shao
Coatings 2025, 15(7), 851; https://doi.org/10.3390/coatings15070851 - 19 Jul 2025
Viewed by 324
Abstract
In order to improve the microstructure and corrosion resistance of entropy alloy in the FeCrNi system, laser melting deposition technology was used as a preparation method to study the effects of different contents of Al and Ti on the microstructure and corrosion resistance [...] Read more.
In order to improve the microstructure and corrosion resistance of entropy alloy in the FeCrNi system, laser melting deposition technology was used as a preparation method to study the effects of different contents of Al and Ti on the microstructure and corrosion resistance of entropy alloy in FeCrNi(AlTi)x (x = 0.17, 0.2, and 0.24). The results show that the addition of Al and Ti elements can change the phase structure of the alloy from a single FCC phase structure to an FCC + BCC biphase structure. The BCC phase volume fraction of FeCrNi(AlTi)0.2 is the highest among the three alloys, reaching 37.5%. With the addition of Al and Ti content, the grain of the alloy will be refined to a certain extent. In addition, the dual-phase structure will also improve the corrosion resistance of the alloy. In 3.5 wt.% NaCl solution, the increase of Al and Ti content can effectively improve the protection of the passivation film on the surface of the entropy alloy in FeCrNi(AlTi)x, effectively inhibit the large-scale corrosion phenomenon on the alloy surface, and thus improve the corrosion resistance of the alloy. In a certain range, increasing the content of Al and Ti elements in the FeCrNi(AlTi)x system can improve the corrosion resistance of the alloy. Full article
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4 pages, 779 KiB  
Correction
Correction: Hung et al. Cul4A Modulates Invasion and Metastasis of Lung Cancer through Regulation of ANXA10. Cancers 2019, 11, 618
by Ming-Szu Hung, Yi-Chuan Chen, Paul-Yann Lin, Ya-Chin Li, Chia-Chen Hsu, Jr-Hau Lung, Liang You, Zhidong Xu, Jian-Hua Mao, David M. Jablons and Cheng-Ta Yang
Cancers 2025, 17(14), 2377; https://doi.org/10.3390/cancers17142377 - 17 Jul 2025
Viewed by 204
Abstract
In the original publication [...] Full article
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12 pages, 1393 KiB  
Article
A Proactive Collision Avoidance Model for Connected and Autonomous Vehicles in Mixed Traffic Flow
by Guojing Hu, Kun Li, Weike Lu, Ouchan Chen, Chuan Sun and Yuanqi Zhao
World Electr. Veh. J. 2025, 16(7), 394; https://doi.org/10.3390/wevj16070394 - 14 Jul 2025
Viewed by 251
Abstract
Collision avoidance between vehicles is a great challenge, especially in the context of mixed driving of connected and autonomous vehicles (CAVs) and human-driven vehicles (HVs). Advances in automation and connectivity technologies provide opportunities for CAVs to drive cooperatively. This paper proposes a proactive [...] Read more.
Collision avoidance between vehicles is a great challenge, especially in the context of mixed driving of connected and autonomous vehicles (CAVs) and human-driven vehicles (HVs). Advances in automation and connectivity technologies provide opportunities for CAVs to drive cooperatively. This paper proposes a proactive collision avoidance model, aiming to avoid collisions by controlling the speed and lane-changing behavior of CAVs. In the model, the subject vehicle first collects information about surrounding lanes and judges the traffic conditions; it then chooses to decelerate or change lanes to avoid collisions. The subject vehicle also searches for the optimal vehicle in the surrounding lanes for cooperation. The effectiveness of the proposed collision avoidance model is verified through the Python-SUMO platform. The experimental results show that the performance of the collision avoidance model is better than that of the cooperative adaptive cruise control (CACC) model in terms of average speed, lost time and the number of vehicle conflicts, proving the advantages of the proposed model in safety and efficiency. Full article
(This article belongs to the Special Issue Modeling for Intelligent Vehicles)
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17 pages, 3221 KiB  
Article
An mRNA Vaccine Targeting the C-Terminal Region of P1 Protein Induces an Immune Response and Protects Against Mycoplasma pneumoniae
by Fenglian Zhang, Chengwei Li, Yanan Wu, Hongyun Chuan, Shaohui Song, Yun Xie, Qi Zhu, Qianqian Chen, Fei Tong, Runfang Zhang, Guangbo Yuan, Xiaoyan Wu, Jian Zhou and Guoyang Liao
Int. J. Mol. Sci. 2025, 26(13), 6536; https://doi.org/10.3390/ijms26136536 - 7 Jul 2025
Viewed by 537
Abstract
Mycoplasma pneumoniae, a cell wall-deficient pathogen, primarily affects children and adolescents, causing Mycoplasma pneumoniae pneumonia (MPP). Following the relaxation of non-pharmaceutical interventions (NPIs) post COVID-19, there has been a global increase in MPP cases and macrolide-resistant strains. Vaccination against M. pneumoniae is [...] Read more.
Mycoplasma pneumoniae, a cell wall-deficient pathogen, primarily affects children and adolescents, causing Mycoplasma pneumoniae pneumonia (MPP). Following the relaxation of non-pharmaceutical interventions (NPIs) post COVID-19, there has been a global increase in MPP cases and macrolide-resistant strains. Vaccination against M. pneumoniae is being explored as a promising approach to reduce infections, limit antibiotic misuse, and prevent the emergence of drug-resistant variants. We developed an mRNA vaccine, mRNA-SP+P1, incorporating a eukaryotic signal peptide (tissue-type plasminogen activator signal peptide) fused to the C-terminal region of the P1 protein. Targeting amino acids 1288 to 1518 of the P1 protein, the vaccine was administered intramuscularly to BALB/c mice in a three-dose regimen. To evaluate immunogenicity, we quantified anti-P1 IgG antibody titers using enzyme-linked immunosorbent assays (ELISAs) and assessed cellular immune responses by analyzing effector memory T cell populations using flow cytometry. We also tested the functional activity of vaccine-induced sera for their ability to inhibit adhesion of the ATCC M129 strain to KMB17 cells. The vaccine’s protective efficacy was assessed against the ATCC M129 strain and its cross-protection against the ST3-resistant strain. Transcriptomic analysis was conducted to investigate gene expression changes in peripheral blood, aiming to uncover mechanisms of immune modulation. The mRNA-SP+P1 vaccine induces P1 protein-specific IgG antibodies and an effector memory T-cell response in BALB/c mice. Adhesion inhibition assays demonstrated that serum from vaccinated mice attenuatesthe adhesion ability of ATCC M129 to KMB17 cells. Furthermore, three doses of the vaccine confer significant and long-lasting, though partial, protection against the ATCC M129 strain and partial cross-protection against the ST3 drug-resistant strain. Transcriptome analysis revealed significant gene expression changes in peripheral blood, confirming the vaccine’s capacity to elicit an immune response from the molecular level. Our results indicate that the mRNA-SP+P1 vaccine appears to be an effective vaccine candidate against the prevalence of Mycoplasma pneumoniae. Full article
(This article belongs to the Section Molecular Immunology)
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15 pages, 2079 KiB  
Article
Isoliensinine Induces Ferroptosis in Urothelial Carcinoma Cells via the PI3K/AKT/HIF-1α Axis: Molecular Evidence from Next-Generation Sequencing
by Yun-Chen Li, Hsuan-En Huang, Chia-Ying Yu, Ya-Chuan Chang, Shu-Yu Lin, Shao-Chuan Wang and Wen-Wei Sung
Pharmaceuticals 2025, 18(7), 1008; https://doi.org/10.3390/ph18071008 - 6 Jul 2025
Viewed by 475
Abstract
Background: Bladder cancer ranks ninth among the most commonly diagnosed cancers, with urothelial carcinoma (UC) accounting for more than 90% of all cases. Given the high recurrence rate and progression risk of bladder cancer, investigating alternative adjunct therapies is imperative. One potential candidate [...] Read more.
Background: Bladder cancer ranks ninth among the most commonly diagnosed cancers, with urothelial carcinoma (UC) accounting for more than 90% of all cases. Given the high recurrence rate and progression risk of bladder cancer, investigating alternative adjunct therapies is imperative. One potential candidate is isoliensinine, which has shown antitumor potential in various cancers; however, the effectiveness of isoliensinine on UC is largely unknown. Methods: In the present study, the effects of isoliensinine on UC cells were examined in a variety of in vitro experiments, including MTT assays, colony formation assays, flow cytometry assays, RNA sequencing analysis, and Western blotting. Results: The isoliensinine-treated T24 and UMUC3 UC cell lines showed cell growth inhibition and proliferation in the MTT and colony formation assays and an apoptotic effect in the flow cytometry assays. RNA sequencing analysis, performed to explain the underlying mechanisms, revealed a significant regulation of cell functions, including apoptosis, the cell cycle, hypoxia-inducible factor 1 (HIF-1) signaling, tumor necrosis factor (TNF) signaling, and ferroptosis. Subsequent Western blotting results verified all these findings. Conclusions: Overall, our data indicate that isoliensinine inhibits UC cell growth and proliferation by inducing apoptosis through alterations in the TNF and HIF1 pathways and ferroptosis. Overall, isoliensinine shows potential for use in new or combined adjunct therapies for the treatment of bladder cancer. Full article
(This article belongs to the Section Biopharmaceuticals)
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13 pages, 2559 KiB  
Article
Iron Homeostasis as a Mediator Linking Central Obesity with MASLD and Primary Liver Cancer: A Two-Step Mendelian Randomization Study
by Yuping Zeng, Xia Wang, Shenlin Liao, Chuan Li, Jie Chen and He He
Biomedicines 2025, 13(7), 1641; https://doi.org/10.3390/biomedicines13071641 - 4 Jul 2025
Viewed by 398
Abstract
Objectives: This study aimed to explore the mediating effects of iron homeostasis biomarkers linking central obesity with metabolic dysfunction-associated steatotic liver disease (MASLD) and primary liver cancer (PLC) via Mendelian randomization (MR) analysis. Methods: Two-sample bidirectional MR, multivariable MR, and mediation [...] Read more.
Objectives: This study aimed to explore the mediating effects of iron homeostasis biomarkers linking central obesity with metabolic dysfunction-associated steatotic liver disease (MASLD) and primary liver cancer (PLC) via Mendelian randomization (MR) analysis. Methods: Two-sample bidirectional MR, multivariable MR, and mediation analyses were used to investigate the causal associations among obesity-related traits, iron homeostasis biomarkers, MASLD, and PLC. For the discovery and replication analyses, GWAS summary data for iron homeostasis biomarkers, MASLD, and PLC were extracted from two datasets, and the combined effects were pooled to corroborate the conclusions. Results: BMI and waist circumference were associated with a risk of MASLD in their combined effects (OR = 1.83, 95% CI = 1.33–2.52 for BMI; OR = 1.98, 95% CI = 1.63–2.41 for waist circumference). Waist circumference but not BMI had significant causal effects on the risk of PLC in the discovery dataset (OR = 1.71, 95% CI = 1.01–2.89 for BMI; OR = 2.72, 95% CI = 1.37–5.39 for waist circumference). In both of the iron homeostasis datasets, genetically predicted increased ferritin was associated with increased risk of MASLD by multivariable MR. We only observed that genetic liability to increased ferritin was associated with increased risk of PLC in iron homeostasis dataset 1 after adjusting for waist circumference. By two-step MR analysis, we found that genetic liability to ferritin mediated 3.34% (95% CI: 0.17–8.08%) of waist circumference effects on MASLD risk and 18.84% (95% CI: 3.01–40.51%) of its effects on PLC risk. Conclusions: Waist circumference and iron homeostasis biomarkers were causally associated with increased risks of MASLD and PLC. Central obesity may contribute to the development of MASLD and PLC by increasing ferritin levels. Full article
(This article belongs to the Special Issue Mechanisms and Therapeutic Approaches for Hepatocellular Carcinoma)
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13 pages, 1519 KiB  
Article
ChatGPT Performance Deteriorated in Patients with Comorbidities When Providing Cardiological Therapeutic Consultations
by Wen-Rui Hao, Chun-Chao Chen, Kuan Chen, Long-Chen Li, Chun-Chih Chiu, Tsung-Yeh Yang, Hung-Chang Jong, Hsuan-Chia Yang, Chih-Wei Huang, Ju-Chi Liu and Yu-Chuan (Jack) Li
Healthcare 2025, 13(13), 1598; https://doi.org/10.3390/healthcare13131598 - 3 Jul 2025
Viewed by 372
Abstract
Background: Large language models (LLMs) like ChatGPT are increasingly being explored for medical applications. However, their reliability in providing medication advice for patients with complex clinical situations, particularly those with multiple comorbidities, remains uncertain and under-investigated. This study aimed to systematically evaluate [...] Read more.
Background: Large language models (LLMs) like ChatGPT are increasingly being explored for medical applications. However, their reliability in providing medication advice for patients with complex clinical situations, particularly those with multiple comorbidities, remains uncertain and under-investigated. This study aimed to systematically evaluate the performance, consistency, and safety of ChatGPT in generating medication recommendations for complex cardiovascular disease (CVD) scenarios. Methods: In this simulation-based study (21 January–1 February 2024), ChatGPT 3.5 and 4.0 were prompted 10 times for each of 25 scenarios, representing five common CVDs paired with five major comorbidities. A panel of five cardiologists independently classified each unique drug recommendation as “high priority” or “low priority”. Key metrics included physician approval rates, the proportion of high-priority recommendations, response consistency (Jaccard similarity index), and error pattern analysis. Statistical comparisons were made using Z-tests, chi-square tests, and Wilcoxon Signed-Rank tests. Results: The overall physician approval rate for GPT-4 (86.90%) was modestly but significantly higher than that for GPT-3.5 (85.06%; p = 0.0476) based on aggregated data. However, a more rigorous paired-scenario analysis of high-priority recommendations revealed no statistically significant difference between the models (p = 0.407), indicating the advantage is not systematic. A chi-square test confirmed significant differences in error patterns (p < 0.001); notably, GPT-4 more frequently recommended contraindicated drugs in high-risk scenarios. Inter-model consistency was low (mean Jaccard index = 0.42), showing the models often provide different advice. Conclusions: While demonstrating high overall physician approval rates, current LLMs exhibit inconsistent performance and pose significant safety risks when providing medication advice for complex CVD cases. Their reliability does not yet meet the standards for autonomous clinical application. Future work must focus on leveraging real-world data for validation and developing domain-specific, fine-tuned models to enhance safety and accuracy. Until then, vigilant professional oversight is indispensable. Full article
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14 pages, 886 KiB  
Article
Comparison of Two Initial Effect-Site Concentrations of Remifentanil with Propofol During Percutaneous Vertebroplasty Under Monitored Anesthesia Care: A Randomized Controlled Study with Titration-Based Adjustment
by Shih-Syuan Lin, Zhi-Fu Wu, Hou-Chuan Lai, Ching-Lung Ko, Ting-Yi Sun, Kun-Ting Hong, Kai-Li Lo, Tzu-Hsuan Yeh and Wei-Cheng Tseng
J. Clin. Med. 2025, 14(13), 4669; https://doi.org/10.3390/jcm14134669 - 1 Jul 2025
Viewed by 381
Abstract
Background: Percutaneous vertebroplasty (PVP) is often performed under monitored anesthesia care (MAC) using a combination of propofol and remifentanil. However, the effects of different remifentanil effect-site concentrations (Ce) combined with propofol on perioperative outcomes in this procedure have not been reported. Methods: In [...] Read more.
Background: Percutaneous vertebroplasty (PVP) is often performed under monitored anesthesia care (MAC) using a combination of propofol and remifentanil. However, the effects of different remifentanil effect-site concentrations (Ce) combined with propofol on perioperative outcomes in this procedure have not been reported. Methods: In this prospective, randomized controlled study, 80 patients scheduled for single-level PVP under MAC were enrolled. Participants were randomly assigned to receive propofol (Ce: 2.0 mcg/mL) combined with either a low (1.0 ng/mL; Group 1) or high (2.0 ng/mL; Group 2) remifentanil Ce. The primary outcome was the incidence of intraoperative patient movement; secondary outcomes included hemodynamic stability, perioperative adverse events, anesthetic consumption, frequency of dose adjustments, postoperative recovery, and anesthesia satisfaction. Results: Group 2 exhibited significantly fewer episodes of patient movement during the procedure and better intraoperative hemodynamic stability. Additionally, fewer upward adjustments in remifentanil infusion were observed in Group 2. Although the total propofol consumption was similar between the groups, Group 2 required a significantly lower propofol Ce to achieve adequate sedation. Surgeon satisfaction with anesthesia was also significantly higher in Group 2. Conclusions: Using a higher remifentanil Ce (2.0 ng/mL) in combination with propofol during PVP under MAC reduces patient movement and improves intraoperative hemodynamic stability without increasing adverse events. This regimen may thereby enhance procedural efficiency and surgeon satisfaction during vertebral interventions. Full article
(This article belongs to the Section Anesthesiology)
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9 pages, 641 KiB  
Article
Long-Term Outcomes of Pediatric Cerebral Arteriovenous Malformations: A Ten-Year Single-Center Retrospective Study
by Mei-Cheng Hsiao, Yuang-Seng Tsuei, Hung-Chuan Pan, Ming-Hsi Sun, Wen-Hsien Chen, Hung-Chieh Chen, Chiung-Chyi Shen, Chi-Ruei Li and Yu-Cheng Chou
Medicina 2025, 61(7), 1177; https://doi.org/10.3390/medicina61071177 - 29 Jun 2025
Viewed by 497
Abstract
Background and Objectives: Pediatric cerebral arteriovenous malformations (AVMs) are associated with significant morbidity and mortality. The aim of this study was to assess the long-term outcomes of surgical excision and stereotactic radiosurgery (SRS) of cerebral AVMs in pediatric patients. Materials and Methods [...] Read more.
Background and Objectives: Pediatric cerebral arteriovenous malformations (AVMs) are associated with significant morbidity and mortality. The aim of this study was to assess the long-term outcomes of surgical excision and stereotactic radiosurgery (SRS) of cerebral AVMs in pediatric patients. Materials and Methods: A single-center retrospective analysis was conducted using data obtained from a single medical center between January 2012 and July 2022. The Modified Rankin Scale (mRS) at admission and discharge and the Spetzler–Martin (SM) scores were analyzed. Results: Among 45 patients (mean age 11.8 years), 19 patients (42.2%) received surgical resection, with good outcomes (mRS 0–2) in 16 patients and complete obliteration in all patients. In total, 26 patients (57.8%) were managed with SRS. After 36.3 months on average, complete obliteration in 19 of 26 patients (69.2%) was confirmed. Among the 7 SRS patients without complete obliteration, 6 had residual cerebral AVMs at the last follow-up, and 1 had recurrence. All patients receiving SRS had favorable outcomes (mRS 0–1) and no apparent radiosurgery-related complications. Conclusions: In our study, the surgical resection or SRS was selected based on individual patient conditions, and the overall outcomes were satisfactory. Both surgical resection and SRS proved to be effective treatment options. Microsurgical resection demonstrated a high rate of obliteration and remains a favorable therapeutic choice with acceptable risks for pediatric AVMs. Full article
(This article belongs to the Section Neurology)
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